Twinrix Immunization Administration Options

NextGen® Enterprise EHR Help

Twinrix Immunizations Dose Schedule Display Examples

When the user administers the Twinrix combination, the system displays the Status and Dose due dates on the Chart tab according to the Twinrix dosage interval recommendations. The system displays Twinrix in the Status column on the Chart tab to indicate that the dose being recommended is based on the Twinrix schedule. If a user selects to administer the Hep A and Hep B vaccines individually, instead of selecting Twinrix, the system displays the doses for each immunization on the Chart tab in separate rows and columns. For the Hepatitis immunization series, the immunization due dates display on the Chart tab according to the monovalent or combination dosing schedule, which is based on the last dose the patient received. After the patient receives the first vaccine (for example, Twinrix), if the provider selects a different vaccine in the Hepatitis immunization series for the second dose, such as monovalent Hep A or Hep B, the system calculates the next dose due date (Dose 3) based on a

NextGen® Enterprise EHR Help

Updated Vaccine Dosage Recommendations

The recombinant zoster vaccine (Shingrix) is recommended for patients starting at age 50. After the first dose, a second dose is recommended based on the patient's dosage schedule, which then completes the Zoster Immunization series. The two-dose Shingrix vaccine is also recommended for adults who had previously received the Zoster live vaccine (Zostavax). Parent topic: Ensuring More Accurate Immunizations Schedules

NextGen® Enterprise EHR Help

Twinrix Immunization Administration Options

The Immunizations module includes the Twinrix vaccine for selection and administration. Twinrix is a combination vaccine, which includes Hep A and Hep B, and is administered to a patient in one injection. Twinrix is recommended for adult patients only (that is, 18 years of age and older) in the U.S. Twinrix immunizations can be administered in three doses, four doses (accelerated), and mixed dosing (that is, Monovalent and combination Hep A and Hep B vaccines). To help you make more appropriate Twinrix immunization order decisions, the system displays vaccine dosage selection warnings and recommendations. Parent topic: Ensuring More Accurate Immunizations Schedules

NextGen® Enterprise EHR Help

Ensuring More Accurate Immunizations Schedules

The Immunizations module includes rules and conditions to guide the system in displaying the proper vaccines to be administered to a patient. These conditions and rules are based on Centers for Disease Control and Prevention (CDC) immunizations scheduling recommendations and other governmental guidelines. As new regulations and patient safety considerations occur in various iterations, the schedules and different vaccine dosage rules that the Immunizations module uses are updated. The system also evaluates the components of a patient’s chart to determine if additional doses of a vaccine are needed, such as the patient age, dates of previous doses administered, and number of doses already completed. Immunization rules and vaccine information displayed enables you to do the following: Determine when a patient should receive an immunization. View whether a dose is valid and the reason if it is not valid. Make more informed clinical decisions when selecting vaccines for an immunization. Mo

NextGen® Enterprise EHR Help

Twinrix Immunizations Dose Schedule Display Examples

When the user administers the Twinrix combination, the system displays the Status and Dose due dates on the Chart tab according to the Twinrix dosage interval recommendations. The system displays Twinrix in the Status column on the Chart tab to indicate that the dose being recommended is based on the Twinrix schedule. If a user selects to administer the Hep A and Hep B vaccines individually, instead of selecting Twinrix, the system displays the doses for each immunization on the Chart tab in separate rows and columns. For the Hepatitis immunization series, the immunization due dates display on the Chart tab according to the monovalent or combination dosing schedule, which is based on the last dose the patient received. After the patient receives the first vaccine (for example, Twinrix), if the provider selects a different vaccine in the Hepatitis immunization series for the second dose, such as monovalent Hep A or Hep B, the system calculates the next dose due date (Dose 3) based on a

NextGen® Enterprise EHR Help

Ensuring More Accurate Immunizations Schedules

The Immunizations module includes rules and conditions to guide the system in displaying the proper vaccines to be administered to a patient. These conditions and rules are based on Centers for Disease Control and Prevention (CDC) immunizations scheduling recommendations and other governmental guidelines. As new regulations and patient safety considerations occur in various iterations, the schedules and different vaccine dosage rules that the Immunizations module uses are updated. The system also evaluates the components of a patient’s chart to determine if additional doses of a vaccine are needed, such as the patient age, dates of previous doses administered, and number of doses already completed. Immunization rules and vaccine information displayed enables you to do the following: Determine when a patient should receive an immunization. View whether a dose is valid and the reason if it is not valid. Make more informed clinical decisions when selecting vaccines for an immunization. Mo